| NPI | 1306946587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: ND 784) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MN 4595) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-10-01 |